Cardio Fisdap
a 73 year old female has chest pain and shortness of breath within bilateral crackles. vital signs are P80/40, P 112, R 22
Cardiogenic shock
which patient is most likely to benefit from an AED?
a 54 year old choking patient who is unresponsive with no carotid pulse
a 78 year old diabetic patient with a syncopal episode now complains of anxiety, shortness of breath, and back pain. You should suspect
acute coronary syndrome
a patient complaining of substernal chest pain with radiating pain to his neck and jaw. the pain is not relieved with rest, you should suspect?
acute myocardial infarction
A 66 year old female called EMS for chest pain prior to calling she took three doses of her prescribed sublingual nitrogylcerin with no relief. what should you do?
administer oxygen
a 67 year old male with a history of asthma complains of chest tightness and shortness of breath. He took one nitroglycerin tablets without relief. He is pale and sweaty with an SP02 of 76% what should you do?
administer oxygen by nonrebreather mask
a 36 year old female complains of chest pain. she is conscious and alert with an SP02 of 93% you should
administer oxygen via nasal cannula at 4 lpm
CPR, which is the upstroke of the compression critical?
allows blood to fill the heart chamber
a patient was struck by lightning you should suspect
an irregular heart beat
which of the following is the largest artery in the blood?
aorta
a patient presents with a sudden onset of tearing chest pain, absent radial pulse on the right arm, and a history of high blood pressure, you should suspect
aortic dissection
which vessels regulate regional blood flow to the capillary beds
arterioles
in an adult a pulse rate of 50 is called
bradycardiac
if the heart lacks enough power to pump the proper volume of blood through the circulatory system, it is known as
cardiogenic shock
A patient complains of chest pain radiating to both of his shoulders after dinner. he is pale, diaphoretic and slightly short of breath. vital signs are BP 150/90, P 120, and irregular. you should suspect
costochondritis
when do the coronary arteries fill with blood?
diastole
you observe an older male slump to the floor he is pulseless what should you do
immediately start chest compressions
what is the primary action of nitroglycerin
it dilates coronary arteries
a 65 year old man complains of weakness and indigestion that began this morning. vital signs are 150/90/ p116, r24 you should suspect?
myocardial infarction
what is the muscular middle layer of the heart?
myocardium
which of the following is a sign or symptom of cardiogenic shock
progressive hypotension
you have just defibrillated a patient who now has a pulse and effective respirations. in which positions should you place him?
recovery
a 48 year old male complains of 8/10 crushing chest pain that radiates to his neck. Vital signs are BP 112/78 P 60 R 18 the patients daily medication include metoprolol, clalis, and aspirin, what should you do
transport rapidly in a position of comfort to the closest facility
what valve controls blood flow between the left atrium and the left ventricle
tricuspid
after an AED has analyzed a patient, the machine states "shock advised" the most likely cause is
ventricular tachycardia
at what rate should single rescue CPR be performed for a 17 year old female
120 compressions/minute
a 57 year old female developed severe weakness and mild shortness of breath while shoveling snow. she is diaphoretic and complaining of nausea and jaw pain. you should suspect
Acute MI
a buildup of calcium and cholesterol from plaque inside blood vessels which would most likely cause ...
Acute coronary syndrome
During CPR, why is the upstroke of compression so critical?
Allows blood to fill the heart chamber
A 54 year old male complains of chest tightness after raking leaves for an hour. The pain subsided after he rested and took two nitroglycerin tablets. He has had very similar episodes in the past. He is most likely experiencing...
Angina Pectoris
a 68 year old female with a cardiac history is complaining of shortness of breath. Auscultation reveals crackles bilaterally. you should suspect..
CHF
A patient has been in cardiac arrest for seven minutes after being struck by lightning. you should?
Check the ABC's
A 60 year old patient is short of breath and cyanotic. Lung sounds reveal crackles and you note accessory muscle use. You should suspect...
Left Sided Heart Failure
You shocked a patient back into a normal rhythm with an AED. During transport, the patient becomes cyanotic and pulseless. What should you do?
Start CPR, and request the EMS unit to stop
During the primary assessment, a 57 year old female says she has chest pain and points to her epigastric area. What should you do?
administer oxygen
you are in an airport and see an adult collapse. as you get the AED from the wall, a bystander starts CPR. if indicated, you should deliver your first shock...
as soon as possible on arrival at the patients side
a 46 year old male is in cardiac arrest. you administer one shock, and at the 2 minute pulse check.=, you feel a strong carotid pulse, what should you do?
assess breathing and manage airway if necessary
an asthmatic 50 year old female is sitting at her desk. she is anxious and complaining of tightness in her chest you should
assist her with her prescribed inhaler
an 84 year old male with a history of "heart problems" complains of chest pain. the chest pain started 30 minutes ago while at rest. vital signs are BP 110/70, P92, R 20, SP02 95% what should you do?
assist the patient with his prescribed nitroglycerin
A 40 year old patient with a history of coronary artery disease and recent mastectomy is complaining of chest discomfort. Vital signs are P 120, R 22,, BP 80/54. you should suspect
cardiogenic shock
a 36 year old female with a history of congenital heart defects is slow to respond. she has pale, cool, ad clammy skin. vital signs are BP 68/30 P128, R26 what should you suspect?
cardiogenic shock
a 38 year old female with a history of congenital heart defects is slow to respond. she has pale, cool, and clammy skin. vital signs are BP 68/30, P128. R26. what should you suspect?
cardiogenic shock
a 49 year old male with a history of heart problems complains of chest pressure and shortness of breath, you should assist him in taking his prescribed nitroglycerin if he ...
complains of a headache and has a bp of 132/90
an 80 year old male presents with shortness of breath, fatigue, peripheral edema, and jugular vein distention. breath sounds reveal crackles and rhonchi. the most likely cause is
congestive heart failure
you just arrived at the scene of a 75 year old male with generalized weakness and chest pain. he has not taken his prescribed medications. nitro, aspirin, and atenolol. you should
contact medical control to assist the patient with his nitroglycerin
CPR has been ongoing for ten minutes on a patient in cardiac arrest. An AED has just been applied and is ready to analyze. you should
continue CPR until a shock is advised
an adult patient is in cardiac arrest with bystander CPR in process; what should you do?
continue CPR while your partner attaches the AED
The vessels that supply the myocardium are called the
coronary arteries
aspirin is administered to patients with pain because it...
decreases the ability of platelets to form clots
EMR have been performing effective CPR on a patient in cardiac arrest. Upon your arrive then AED indicated "shock advised" what should you do?
defibrillate the patient
the pulmonary artery carries
deoxygenated blood away from the heart
a 44 year old female awakened with shortness of breath complaining of indigestion, epigastric pressure. Antacids didn't help. you should suspect
gastroesophageal reflux disease
a sudden severe increase in blood pressure is called
hypertensive crisis
a 54 year old female suddenly becomes pulseless and apneic. What should you do?
immediately start chest compressions
after blood has been oxygenated, it returns to the heart by entering the
left atrium
a 60 year old patient is short of breath and cyanotic. lung sounds reveal crackles and yo not accessory muscle use. you should suspect?
left sided heart failure
during CPR which of the following is most important?
minimal interruptions to chest compressions
a 69 year old male is lying in his bed and complains of chest pain. during your assessment he becomes
move him onto a hard surface
a 76 year old female is sitting in a tripod position complaining of abdominal discomfort, nausea, dizziness, and fatigue. she has taken 2 nitroglycerin tablets with relief. you should suspect
myocardial infarction
an oriented 78 year old female with pale, moist skin is complaining of indigestion. vital signs are BP 180/90 P 116 and irregular R 24 and regular. you should suspect
myocardial infarction
Within two minutes of assisting your patient with his third nitroglycerin tablet, he complains of dizziness and becomes sweaty. Radial pulses are present, rapid, and weak. You should suspect that the
nitrogylcerin caused vasodilation and decreased perfusion
what best describes PEA
organized electrical activity without a pulse
a child is in cardiac arrest with an unknown down time. what should you do?
perform CPR while attaching an AED
while performing chest compressions, you should
position your shoulders over your hands
what action does aspirin have in the body that makes it beneficial for patients experiencing AMI?
preventing platelets from clotting
which of the following is a sign or symptom of cardiogenic shock?
progressive hypotension
a 48 year old patient complains of difficulty breathing. patients history reveals an acute myocardial infarction eight months ago, vital signs are BP 144/88 P 110 R 24 Auscultation reveals crackles in the lung bases you should suspect
pulmonary edema
a cardiac arrest patient has been "down" for six minutes without any care what should you do?
start chest compressions
Nitroglycerin is a medication which is typically administered
sublingually
a 62 year old male complains of chest pain and tightness. vital signs are BP 88/56 P 126 R18 what is the best position for this patient
supine
a 64 year old patient states "i feel like i am about to die" Nitroglycerin and oxygen have not decreased her chest pain. vital signs are BP 90/60 P60 R24 you should
transport immediately
A patient who collapsed has been revived following one shock with an AED. she is now moaning and breathing on her own. What should you do?
turn her to her side and monitor her airway
blood enters the right atrium from the...
vena cava
the systolic blood pressure measures pressure during which of the following?
ventricular contraction
which electrical cardiac disturbance will an AED shock
ventricular fibrillation
A 67 year old male has significant shortness of breath, chest pain and nausea. He is clammy. Vitals are BP is 90/60, P 148, R 34. You should
Place the patient in the supine position
chronic hypertension in adults typically begins at a pressure of higher than
140/90
